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Indiana rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $39,810.72 / $45,708.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $38,018.94 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $28,840.32 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $28,183.83 / $41,686.94